Biomedical subjects

Inci Akarcali

Publications and source records attributed to Inci Akarcali.

3 recordsLinked to original sources

PubMed2004

[Patellar instability: arthroscopic surgery, indications and techniques].

A significant incidence of knee pain and disability arises from patellofemoral disorders. An accurate diagnosis relies both on a comprehensive history and a careful physical examination; radiologic modalities also play an important part in the diagnosis and follow-up. Most patellofemoral disorders can be examined in three groups: pain due to soft tissue abnormalities, patellar instability, and patellofemoral osteoarthritis. Conservative therapy can be successful in many patellofemoral disorders. Surgical treatment consists of lateral release, medial plication and reconstruction of the medial patellofemoral ligament, proximal and distal realignments, patellar osteotomies, and patellectomy. In traumatic dislocations primary reconstruction or arthroscopy assisted medial stabilization can be performed.

Arthroscopy↗

PubMed2004

High independence level in functional activities reduces hospital stay after total hip arthroplasty regardless of pain intensity.

OBJECTIVE: The purpose of this study is to investigate the relationship between independence level in functional activities and pain, and length of hospital stay in the early postoperative period in patients with total hip arthroplasty (THA). METHODS: The study was performed over 26 end stage hip arthritis patients who were hospitalized in the Department of Orthopedics and Traumatology, Hacettepe University Hospital, Ankara, Turkey, between January 2000 and July 2003 for THA and operated with the same surgical technique by the same surgeon. All patients were mobilized in the first postoperative day and a standard rehabilitation protocol was applied to all patients. The independence level in functional activities of the cases was assessed with Iowa Level of Assistance Scale (ILAS). Iowa Ambulation Speed Scale (IASS) was used to evaluate the speed of ambulation in the early postoperative period. Pain was assessed with visual analogue scale (VAS). RESULTS: There was no statistically significant relation between pain intensity and independence level in functional activities on the second and sixth postoperative days (p>0,05), but independence level scores in functional activities on the second and sixth days were correlated with hospital stay length (p<0.05). CONCLUSION: The results of this study indicate that in patients with THA, pain does not affect the independence level in functional activities in the early postoperative period. In the same period as the independence level improves, the hospital stay length decreases. This is an important factor that may reduce both the hospital costs and the possible complications due to prolonged hospital stay.

Activities of Daily Living↗

PubMedDate not supplied

Physiotherapy results in a baby with congenital lymphedema: a follow-up study.

Physiotherapy results of a 6.5-month-old baby with congenital lymphedema in the lower limbs are presented in this study. Her motor developmental level and reflexes were evaluated and test results did not show any abnormal findings. Assessment of limb volume included circumferential and volumetric measurements, and photographs showing the changes in macroscopic view are presented. The physiotherapy program consisted of manual lymphatic massage, remedial exercises, multilayered inelastic compression bandaging, meticulous skin care and education of parents. The treatment lasted for 2.5 months, five days per week. Evaluations were done immediately after treatment and six months after treatment. The evaluations showed reduction in swelling after the treatment and this reduction continued during the follow-up period. It can be concluded that this physiotherapy program reduces the swelling in a baby with congenital lymphedema. Further studies are required in order to see the effectiveness of this therapy program in a greater number of subjects.

Female↗